| NPI | 1699349720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 12296736-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW17067) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-12-02 |